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Scott County is a small slice of prairie near the border with Kentucky whose population of about 24,000 is 97 percent white. Having never fully recovered from the 2008 financial crisis, unemployment and poverty plagued the region.

Many adults residents had not attained education beyond high school. Unemployment and lack of education are twin indicators of poverty and correlate with poor health outcomes and a lower life expectancy. By the spring of 2015,  Nursing writing services the health of Scott County was in peril in a brand new way. The county’s rate of new cases of HIV went from roughly five every year to a stunning 200; a full-blown HIV outbreak enveloped this small corner of Indiana.

The outbreak was traced to people sharing syringes used to inject drugs, which the Centers for Disease Control and Prevention described as a “multi-generational activity” in Scott County—meaning that because of a perfect storm of historical and environmental factors like poverty, trauma, and financial hardship, entire families succumbed to addiction.